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NPI Code Detail

MEDICARE: THE OB GYN CLINIC P.A.

MEDICARE: THE OB GYN CLINIC P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700807039
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE OB GYN CLINIC P.A.
Provider Business Mailing Address
First Line : 136 JEFFERSON DAVIS BLVD STE B
Second Line :
City : NATCHEZ
State : MS
Zip : 39120-5104
Country : US
Telephone Number : 601-442-3701
Fax Number : 601-442-4785
Provider Business Practice Location Address
First Line : 136 JEFFERSON DAVIS BLVD STE B
Second Line :
City : NATCHEZ
State : MS
Zip : 39120-5104
Country : US
Telephone Number : 601-442-3701
Fax Number : 601-442-4785
Authorized Official
Title or Position : OWNER PARTNER
Name : DR. FLOYD THOMAS CAREY JR.
Credential : M.D.
Telephone Number : 601-442-3701
Provider Enumeration Date : 07/21/2006
Last Update Date : 08/22/2020

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1801845136 — GEOFFREY J FLATTMANN MD
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Directions to “THE OB GYN CLINIC P.A. ” Practice Location

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